Individual
DR. COLLET R MASILLAMONI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
240 E 24TH ST, YUMA, AZ 85364-8547
(928) 782-4369
Mailing address
240 E 24TH ST, YUMA, AZ 85364-8547
(928) 782-4369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2726
AZ
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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